Benefit Engine Design and Configuration (Consultant III)

Kaiser Permanente • Pasadena, CA

91d

About The Position

National Benefits Administration supports all benefit configuration, supports benefit policy work nationally, custom benefit design and Private Exchange plan approvals, and is accountable for Summary of Benefit Coverage and Evidence of Coverage productions, as well as, supporting national metrics and reporting across functions. The Consultant III position is part of the Benefits Configuration Team who works to support cyclical and ongoing medical coding changes which affect claims processed in the Epic/Tapestry platform for the CA Market. This position will work independently and as part of a team to leverage analytical and critical thinking skills to analyze requirements, build configuration changes, and support the implementation of changes to the Tapestry Claims System. The Consultant III will also collaborate across teams within Benefits Administration to support this work and end to end solutioning.

Requirements

• Bachelors degree from an accredited college or university and Minimum three (3) years experience in consulting, project management, data analytics, operations or a directly related field.
• Masters degree in Business, Public Health, or a directly related field and Minimum one (1) years experience in consulting, project management, data analytics, operations or a directly related field.
• Minimum six (6) years experience in consulting, project management, data analytics, operations or a directly related field.

Nice To Haves

• Negotiation
• Creativity
• Applied Data Analysis
• Conflict Resolution
• Risk Assessment
• Service Focus
• Requirements Elicitation & Analysis
• Business Acumen
• Managing Diverse Relationships

Responsibilities

• Serves as part of a consulting team to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects.
• Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state.
• Supports strategic planning and organizational alignment and prioritization of business initiatives.
• Manages moderately complex projects or project components, participates in change management activities, and performs data analyses in support of business initiatives.
• Supports vendor management as required.
• Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures.
• Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members.
• Listens to, seeks, and addresses performance feedback; provides mentoring to team members.
• Pursues self-development; creates plans and takes action to capitalize on strengths and develop weaknesses.
• Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work.
• Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative solutions.
• Collaborates cross-functionally to solve business problems; escalates issues or risks as appropriate.
• Supports, identifies, and monitors priorities, deadlines, and expectations.
• Identifies, speaks up, and implements ways to address improvement opportunities for team.
• Develops requirements for business, process, or system solutions within assigned business domain(s).
• Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state.
• Supports strategic planning and organizational alignment and prioritization of business initiatives.
• Serves as an advocate of continuous learning and professional development.
• Manages moderately complex projects or project components by coordinating stakeholder contacts.
• Participates in change management activities associated with business initiatives.
• Performs data analyses to support business initiatives.
• Supports vendor management as required by assisting with reviews of vendor performance levels.

What This Job Offers

• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree